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Organization

MORGANTON GERIATRIC LLC

Active
Other names
Burke Long Term Care
Organization subpart
No

Provider details

NPI number
Authorized official
PHANI MOHAN VUPADHYAYULA MD (MANAGER)
(704) 989-5736
Entity
Organization

Contact information

Practice address
125 CAMELLIA GARDEN ST, MORGANTON, NC 28655-8207
(828) 433-5875
(828) 433-7022
Mailing address
1121 BALTUSROL LN, WAXHAW, NC 28173-9031

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
04/24/2022
Last updated
04/24/2022
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